<?php echo $form->create('Registration',array('action'=>'registration'));?>
<div id="main" class="clearfix" style="width:1050px;">
    <div id="container" class="clearfix" style="background:#fff;">
        <div id="frame">
            <div class="leftCols">
                <div class="title" style="width:70px;">
                    Review
                </div>
                <div style="float:right; line-height:22px; width:60%; padding-top:5px;">
                    <input type="checkbox" value="1" checked="checked" /><b style="color:red;">You are at least 13 year old</b>
                </div>
                <div class="field" style="margin-top:30px;">
                    <span style="width:100px; float:left; padding-left:50px;">First Name</span>
                    <b style="padding-left:20px;">
                        <?php echo $data['Subscriber']['firstName'];?>
                        <?php
							echo $form->hidden('Subscriber.firstName');
                        ?>
                    </b>
                </div>
                <div class="field">
                    <span style="width:100px; float:left; padding-left:50px;">Last Name</span>
                    <b style="padding-left:20px;">
                        <?php echo $data['Subscriber']['lastName'];?>
                        <?php
							echo $form->hidden('Subscriber.lastName');
                        ?>
                    </b>
                </div>
                <div class="field" style="margin-top:30px;">
                    <span style="width:100px; float:left; padding-left:50px;">Username</span>
                    <b style="padding-left:20px;">
                        <?php echo $data['User']['userName'];?>
                        <?php
							echo $form->hidden('User.userName');
                        ?>
                    </b>
                </div>
                <div class="field">
                    <span style="width:100px; float:left; padding-left:50px;">Password</span>
                    <b style="padding-left:20px;">
                        <?php echo $data['User']['password'];?>
                        <?php
							echo $form->hidden('User.password');
                        ?>
                    </b>
                </div>
                <div class="field" style="padding:5px; float:left; width:350px; text-align:left; line-height:19px;">
                    <b style="color:red;">* You have selected to receive messages via the following method(s) :</b>
                    <div class="field" style="margin-top:20px;">
                        <span style="width:100px; float:left;">Email address</span>
                        <b style="padding-left:20px;">
                            <?php echo $data['Contact']['email'];?>
                            <?php
								echo $form->hidden('Contact.email');
	                        ?>
                        </b>
                    </div>
                    <div class="field">
                        <span style="width:100px; float:left;">Mobile phone</span>
                        <b style="padding-left:20px;">
                            <?php echo $data['Contact']['phone'];?>
                            <?php
								echo $form->hidden('Contact.phone');
	                        ?>
                        </b>
                    </div>
                    <div class="field" style="width:200px; margin-top:20px;">
                        Messages are provided by Nebraskaland Bank of Aurora
                    </div>
                    <div class="field" style="margin-top:10px;">
                        <img src="/beaconschool/img/bkcreate.jpg" width="215" border="0" />
                    </div>
                    <div class="field" style="padding-top:10px;">
                        <a href="" class="ima" style="font-size:13px; float:right; font-weight:bold;">Back to change</a>
                    </div>
                </div>
            </div>
            <div class="rightCols">
                <div id="logout">
                    <a href=""><img src="/beaconschool/img/logout.jpg" border="0" /></a>
                </div>
                <div class="field" style="width:auto;">
                    <div style="float:left; line-height:18px; width:100%;">
                        <b style="color:red;">You have selected to receive message from the following Groups :</b>
                    </div>
                    <div class="list_div" style="margin-top:30px; padding-top:30px;">
                        <div style="float:left; width:50%;">
                            <b style="font-size:13px;">Aurora Public School :</b>
                            <br/>
                            <div class="list_div">
                                <div style="float:left; width:100%;">
                                    <div style="float:left; padding-left:10px; padding-top:30px;">
                                        <input type="checkbox" name="Auro" value="1" checked="checked" />Aurora Middle School
                                        <div style="float:left; padding-left:20px; padding-top:8px;">
                                            <input type="checkbox" name="Auro" value="1" checked="checked" />7th Grade Boys BB 
                                            <br/>
                                            <input type="checkbox" name="Auro" value="1" checked="checked" />7th Grade Girls BB 
                                            <br/>
                                            <input type="checkbox" name="Auro" value="1" checked="checked" />7th Grade Football
                                            <br/>
                                            <input type="checkbox" name="Auro" value="1" checked="checked" />7th Grade Parents
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div style="float:left; width:50%; text-align:left; padding-top:100px;">
                        </div>
                    </div>
                    <div style="float:right; width:84%; text-align:left;">
                        <div class="header" style="padding-top:30px;">
                            <b style="color:black;">Type the characters you see in this image</b>
                            <br/>
                            <div style="float:left; text-align:right;">
                                <b style="color:black;">Image :</b>
                                <br/>
                                <?php 
									echo '<a href="javascript:void(0);" onclick="javascript:document.images.captcha.src=\''.$html->url('/registrations/captcha').'\'">Try a diffirent Image</a><br/>'; 
								?>
                            </div>
                            <div style="float:right; margin-left:5px; text-align:left;">
                                <div style="width:195px; border:1px solid #000; padding:5px;">
                                    <img src="<?php echo $html->url('/registrations/captcha'); ?>" border="0"/>
                                </div>6 character
                            </div>
                            <div class="header" style="margin-bottom:10px;">
                                <!--<input type="text" class="text2" style="text-align:center;" value="KKH9F8" />-->
                                <?php echo $form->input('User.captcha',array('div'=>null,'label'=>''));?>
                            </div>
                        </div>
                    </div>
                    <div class="saveDIV" style="margin:0; width:95%;">
                        <div style="float:left;">
                            <input type="submit" value="Submit" class="submit" />
                        </div>
                        <div style="float:left; color:#ff0000; padding-left:5px; width:350px;">
                            After you click 'Submit', you will receive a text or email cofirming your subscrition to the group option you have chosen. You must respond as directed in order to begin receiving message.
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<?php echo $form->end();?>
